Christina Marie Mcdonough, | |
1031 Mcintosh Cir, Joplin, MO 64804-3643 | |
(417) 347-5610 | |
Not Available |
Full Name | Christina Marie Mcdonough |
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Gender | Female |
Speciality | Emergency Medicine |
Location | 1031 Mcintosh Cir, Joplin, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427674878 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 2020017722 (Missouri) | Primary |
Entity Name | Southeastern Emergency Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050407000866 |
Mailing Address | Practice Location Address |
---|---|
Christina Marie Mcdonough, 10816 Kalinda Ln, Saint Louis, MO 63128-1527 Ph: (314) 974-0922 | Christina Marie Mcdonough, 1031 Mcintosh Cir, Joplin, MO 64804-3643 Ph: (417) 347-5610 |
Clinton R Loy, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Mercy Way, Joplin, MO 64804 Phone: 417-556-2300 Fax: 417-556-3625 | |
Erika Crawford, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1111 | |
Dr. Earnst Douglas Seifert, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1111 Fax: 417-347-2149 | |
Dr. Richard Marvin Blubaugh, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1102 West 32nd Street, Joplin, MO 64804 Phone: 417-347-1111 Fax: 417-347-2149 | |
Matthew Dwight Grounds, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1111 | |
Michelle Pannell, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Mercy Way, Joplin, MO 64804 Phone: 417-781-2727 Fax: 417-208-3625 | |
Dallin Daniel Elmer, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1102 W 32nd St, Joplin, MO 64804 Phone: 417-347-1111 |